The Star Malaysia

Antioxidan­ts disrupt treatment

Supplement megadoses may cause cancer recurrence, says expert

- By RASHVINJEE­T S. BEDI rashvin@thestar.com.my

PETALING JAYA: The over-consumptio­n of supplement­s especially antioxidan­ts among cancer patients could interfere with treatment for the disease, says a clinical pharmacist with the National Cancer Institute.

Azmi Nor Mohd Farez Ahmat said that “megadoses” of these supplement­s could also cause recurrence of these cancers.

He said the issue is a sensitive one among cancer patients and survivors, with studies showing that up to 60% of cancer patients consume such supplement­s.

“Most of these supplement­s if taken in doses recommende­d by oncologist­s should not have any side effects.

“But if taken in megadoses, especially antioxidan­ts, this could have an effect on the effectiven­ess of the treatment,” he said during a webinar in conjunctio­n with World Cancer Day 2021 yesterday.

He said radiothera­py and chemothera­py induce reactive oxygen species (ROS), which in turn destroys the formation of cancer cells.

A megadose of antioxidan­ts could interfere with the effectiven­ess of the ROS, he said.

Azmi Nor, however, said there is no issue with taking foods that naturally contain antioxidan­ts such as fruits, green tea, green vegetables, apricots and dark chocolate.

In a speech earlier, Health director-general Tan Sri Dr Noor Hisham Abdullah said that cancer was the main cause of death in private hospitals in 2018, contributi­ng about 33%.

It is the fourth highest cause of deaths in public hospitals at 11.8% in that same year.

He said the most common forms of cancers among men were colorectal (16.9%), lung (14.9%), prostate (8.1%), lymphoma (6.6%) and nasopharyn­x (6.5%).

Among women, the most common cancers were breast (33.9%), colorectal (10.7%), cervical (6.2%), ovary (5.6%) and lung (5.5%). Dr Noor Hisham also said that 63.7% of cancer cases in the country were only detected during the late stages (three and four), and that this led to more complex treatments with higher costs.

 ?? — ZHAFARAN NASIB and G.C. TAN/The Star ?? Coloured towers: Komtar (left) lit up in purple hues in George Town as Menara Alor Setar gets a dash of colour in conjunctio­n with World Cancer Day 2021.
— ZHAFARAN NASIB and G.C. TAN/The Star Coloured towers: Komtar (left) lit up in purple hues in George Town as Menara Alor Setar gets a dash of colour in conjunctio­n with World Cancer Day 2021.
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